Individual
MS. JANET MARIE WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1100 LEAD AVE, ALBUQUERQUE, NM 87106-5215
(740) 282-9093
(740) 282-9087
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.CNP.18960
OH
363LF0000X
Family Nurse Practitioner
Primary
CNP-03134
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
109015
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161305
—
OH
05
—
46833269
—
NM
Enumeration date
02/19/2016
Last updated
09/22/2022
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